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Question: Important Question on node swelling
| WorriedPaul
- Fri Jan 26, 2007 3:35 pm |
Is it possilbe, in an infection, for their to be neck swelling in the right side and then a week later to see an enlarged node? Or is something like this suggestive of something more serious than an infection?
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| Dr. Safaa Mahmoud
- Sun Jan 28, 2007 4:37 pm |
 Hello,
Sometimes, following infection, Lymph nodes remain permanently enlarged, though they should be non-tender, small (less the 1 cm), have a rubbery consistency and none of the characteristics described for malignancy or for infection (hard, fixed, increasing progressively in size). These are also known as 'Shotty Lymph nodes'.
Individuals with history of recurrent upper respiratory, ear, throat dental, etc tend to have clinically palpable Lymph nodes in their neck.
Nodes are generally considered to be normal if they are up to 1 cm in diameter.
Of significance, an increase in nodal size on serial examinations. Hence nodes that continue to grow in size are important and those that regress in size after infection control tend to be more reassuring.
Best regards.
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